Clinical Pharmacist

A large managed care organization has a Full-time CONTRACT Position for a Clinical Pharmacist with a current and unrestricted Pharmacist license in the state of Utah.

Must have one to two years of related work experience, including data entry along with excellent communication skills, and professional demeanor. Interact with internal and external customers in a courteous manner in person and via telephone.

• PAY: $72.00 per hour
• CONTRACT: 10/14/2024 to 06/30/2025
• Schedule: 8am – 5pm M-F
• LOCATION: REMOTE: Candidate must live within a commutable distance of the Sandy, Utah regional area.
• Current and unrestricted Pharmacist license in the state of Utah.

The Clinical Pharmacist will report into the Operations Team Manager. This is a unique role that will allow the pharmacist to interact with members at a Wellness center one day a week and telecommute the rest of the week (currently not going into the Wellness center but may require in future). The primary responsibilities of this role are to assist with member-initiated inquiries related to OptumRx services and perform telephonic consultations with members to complete comprehensive medication reviews and improve disease state management. In addition, the clinical pharmacist documents the care delivered and communicates essential information to the member's primary care providers.

Required Qualifications

• Bachelor's degree in pharmacy or PharmD
• Current and unrestricted Pharmacist license in the state of Utah
• Candidate must live within a commutable distance of the Sandy, Utah regional area
• Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review – Comprehensive and Targeted, 2) Personal Medication List (PML), 3) Medication-Related Action Plan (MAP), 4) Interventions and Referrals, and 5) Documentation of Services and Follow-up)
• Experience working remotely/independently within a cross functional team environment, self-directed with excellent organizational skills.
• Ability to navigate approved MTM platforms and multi-task using multiple databases/platforms, and applications. Competent use of computers/technology.
• The work hours required will require flexibility to work rotating shifts between the hours of 8:00am and 8:00pm CST, Monday through Friday. Extended hours and occasional weekends may be required as needed.

Preferred Qualifications

• PharmD
• Current and active Certified Diabetes Care and Education Specialist, Board Certified-Advanced Diabetes Management, ASHP Diabetes Management Certificate, or APhA Patient Centered Diabetes Care Certificate
• 2 years Pharmacy work experience in retail / community pharmacy and / or PBM, but will consider new graduate experientials
• Bilingual (fluent in medical terminology) in Cantonese, Korean, Mandarin, Russian, Spanish, or Vietnamese
• Additional Pharmacist License in good standing in Alabama, Idaho, Kentucky, Louisiana, Maryland, Minnesota, Oregon, Tennessee, or Vermont
• Prior call center experience
• Intermediate level skill in Microsoft Word, Outlook, and Excel
• ACPE MTM Specialist
• Certified Geriatric Specialist
• Board Certified Pharmacist

Soft Skills

• Demonstrates interpersonal, consultative, and problem-solving skills – Ability to ask questions to understand patient needs while having empathy and actively listening.
• Strong telephonic skills – Ability to speak clearly and communicate with senior citizens and healthcare professionals.
• Capable of defusing conflict appropriately with strong conflict management skills
• Commitment to professionalism and a dedicated desire to advance patient care
• Ability to interact cross functionally within the organization
• Excellent attention to detail, time management, organizational, and prioritization skills and ability to balance multiple priorities

Responsibilities

• Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center.
• Prioritize the privacy and confidentiality of the patient's medical information, adhering to HIPAA regulations, and organizational policies at all times.
• Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
• Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions.
• Provide patient education on medication regimen and disease states.
• Accurately document patient care notes and recommendations in an efficient, professional, concise and clear manner.
• Active participation in providing monthly presentations at Wellness Center on pertinent health topics
• Visit providers and/or long-term care facilities to complete member MTM consultations
• Keep current with new and emerging clinical trends
• Visit providers and/or long-term care facilities to complete member MTM consultations
• Active participation in departmental meetings to improve clinical programs and enhance processes
• Follow all policies and procedures related to job
• Meet productivity and performance expectations set forth by management.
• Support Clinical Service Engagement team as needed for special projects
• Other duties as assigned by Operations Manager